CELL-KINETICS - AN INDEPENDENT PROGNOSTIC VARIABLE IN STAGE-II MELANOMA OF THE SKIN

被引:9
作者
COSTA, A [1 ]
SILVESTRINI, R [1 ]
MEZZANOTTE, G [1 ]
VAGLINI, M [1 ]
GRIGNOLIO, E [1 ]
CLEMENTE, C [1 ]
CASCINELLI, N [1 ]
机构
[1] IST NAZL TUMORI, VIA VENEZIAN 1, I-20133 MILAN, ITALY
关键词
D O I
10.1038/bjc.1990.386
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The prognostic role of cell kinetics (expressed as 3H-thymidine labelling index,3H-TdR LI) was assessed on 145 patients with pathologic stage II melanoma subjected only to therapeutic lymph node dissection. The 3H-TdR LI determined on metastatic nodes was related to relapse-free survival and to survival. In particular, 3-year relapse-free survival was significantly different from patients with slowly and rapidly proliferating melanomas (40% vs 22%, P=0. 007), and this finding was consistently found for overall survival (68% vs 46%, P=0. 007). Moreover, in patients with high 3H-TdR LI tumours, the risk of relapse and death within the first year from lymphadenectomy was two-fold that of patients with low 3H-TdR LI tumours. Multiple regression analysis showed that 3H-TdR LI retained its prognostic significance on relapse-free and on overall survival even when the number of involved nodes and type of nodal metastases were considered. Present findings suggest that 3H-TdR LI can contribute to select high-risk stage II melanoma patients. © Macmillan Press Ltd., 1990.
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收藏
页码:826 / 829
页数:4
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